Student Financial Assistance Application

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					                  FLORIDA DEPARTMENT
                      OF EDUCATION




              2011-12
          Initial Student
Florida Financial Aid Application



    Office of Student Financial Assistance
     325 West Gaines Street, Suite 1314
      Tallahassee, Florida 32399-0400

               1-888-827-2004

        www.FloridaStudentFinancialAid.org
                     Initial Student Florida Financial Aid Application
                                             Conditions
              IMPORTANT: RETAIN THESE CONDITIONS FOR YOUR RECORDS.
    Activate your User ID and PIN - Know it, Use it, Be Responsible for your state financial aid!

All applications are due by the established program deadlines listed below.

GENERAL INFORMATION
• The Initial Student Florida Financial Aid Application applies only to grants and scholarships
  administered by the Office of Student Financial Assistance (OSFA). This application does not
  apply to grants and scholarships offered by private organizations or other entities in the State of
  Florida. Students are to complete the Free Application for Federal Student Aid (FAFSA) in order
  to be considered for federal scholarship, grant, or loan programs and certain state-funded
  scholarships and grants.

•    All applicants must meet deadlines and requirements for each program to become eligible.

•    Students may apply for the programs listed below by the designated deadlines through the Initial
     Student Florida Financial Aid Application. This one application is used to conduct evaluations for
     all of the programs listed below:

        o   Florida Bright Futures Scholarship Program – By High School Graduation Date
        o   José Martí Scholarship Challenge Grant Fund – April 1
        o   Rosewood Family Scholarship Program – April 1
        o   Scholarships for Children and Spouses of Deceased or Disabled Veterans and
            Servicemembers – April 1
        o   Robert C. Byrd Honors Scholarship Program – April 15

•    Students may apply for the programs listed below through the postsecondary institution they plan
     to attend:

        o   Access to Better Learning and Education Grant Program
        o   First Generation Matching Grant Program
        o   Florida Public Postsecondary Career Education Student Assistance Grant Program
        o   Florida Student Assistance Grant Program
        o   Florida Work Experience Program
        o   Mary McLeod Bethune Scholarship Program
        o   William L. Boyd, IV, Florida Resident Access Grants

•     It is the applicant’s responsibility to ensure all required certifications and additional
      documentation are submitted to OSFA on or before the program deadline. Detailed program
      information and certification forms are available on the OSFA website at
      www.FloridaStudentFinancialAid.org or by calling toll-free at 1-888-827-2004.




                                                    ii
AWARD AND DENIAL NOTIFICATIONS AND DISBURSEMENT PROCEDURES
• Following official evaluation of your high school transcripts for program eligibility, a Bright Futures
  award or denial notification will be posted to your Financial Aid Recipient History screen:
  o After your 7th semester, you will be evaluated based on completed, required coursework and
      courses in progress; grade point average in this coursework; test scores taken through
      January 31; and completed community service hours. Notifications are posted beginning in
      March.
  o If you are not eligible after your 7th semester, you will be evaluated again, after your final
      transcript is received, based on your grade point average in core coursework, test scores from
      tests taken up to June 30, and community service hours completed prior to high school
      graduation. Notification for Florida Academic Scholars awards are posted beginning in June.
      All other notifications are posted in August.
  o Official award notification comes from OSFA, not high schools or postsecondary
      institutions.
• Award or denial notifications from other state scholarships and grants are posted in June for:
   o José Martí Scholarship Challenge Grant Fund
   o Rosewood Family Scholarship Program
   o Scholarships for Children and Spouses of Deceased or Disabled Veterans and
      Servicemembers
   o Robert C. Byrd Honors Scholarship Program
• All funds are sent directly to eligible Florida postsecondary institutions for awarded students.
  Each postsecondary institution has its own disbursement process. Check with your institution to
  find out when and how you will receive your scholarship and grant funds.

CHANGES IN INFORMATION/TRANSFERS BETWEEN INSTITUTIONS
• Changing your postsecondary institution during the application process is allowed; however, not
  all state-funded programs can be used at all institutions. You may change your institution at
  any time during or after the application process. Visit the website at
  www.floridastudentfinancialaid.org/SSFAD/home/uamain.htm and select "State Program Links."
  See links under “Eligible Institution Information,” and select "By State Program" for a list of eligible
  institutions.
• Update your postsecondary institution by choosing "Application Status & Award History," and then
  under "Initial Student Update" select "Name, Address and Institution."
• Notify OSFA of postsecondary institution transfer no later than August 1 for term one transfers,
  December 1 for term two transfers, and February 15 for term three transfers for a timely
  disbursement. Notices of transfers received by OSFA after these dates could result in funds not
  reaching the new institution on time. Transferring from one institution to another could affect the
  applicant's eligibility for a program award or the amount of the award, as not all state-funded
  programs can be used at all institutions.

APPEALS
• Applicants who believe financial aid has been wrongly denied have certain rights to appeal.
  Applicants may appeal if they believe the Florida Department of Education (FDOE) erred in
  determining eligibility or in failing to transfer an award. If aid is denied for failure to meet state
  academic progress requirements, applicants may appeal the denial to the institution by providing
  proof of illness or other emergency beyond the applicant's control. An FDOE appeal is to be filed
  within thirty days of the date of the notice of ineligibility. An institutional academic progress
  appeal is to be filed within thirty days of the denial letter or by the date established by the
  institution's financial aid office, whichever is later.




                                                    iii
USE OF THE APPLICANT’S SOCIAL SECURITY NUMBER (SSN)/NON-DISCRIMINATION
STATEMENT
The Privacy Act of 1974 requires state agencies to inform applicants of the reasons for requesting
their social security numbers (SSN). The FDOE requests an SSN on all applications for student
financial assistance in order to correctly identify applicants, match each applicant's financial aid
record with the student record at the postsecondary institution the applicant attends, and help
coordinate state student aid programs with federal student aid programs.

SSN Disclaimer: An applicant will not be denied financial assistance for failure to disclose the
SSN. Without an SSN, correct identification of an applicant's record cannot be assured and may
result in an error in the award amount or a delay in the disbursement of an award. However, if you
do not have or do not wish to provide an SSN, please leave the "social security number" field blank.
Our system will generate a Pseudo number.

Pursuant to Section 1000.05, Florida Statutes, state student financial assistance is provided to
eligible applicants without discriminating on the basis of race, sex, national origin, marital status, or
handicap. Minority status will be considered when required by law as a condition of eligibility or
selection.




                                                  iv
                       STATE OF FLORIDA - DEPARTMENT OF EDUCATION
                         OFFICE OF STUDENT FINANCIAL ASSISTANCE

                                                       2011-12
     INITIAL STUDENT FLORIDA FINANCIAL AID APPLICATION

                                       APPLICANT CERTIFICATION

    By signing and submitting this application, I certify that I am the applicant named on this application and to
    the best of my knowledge and belief, the information contained on this application is true, complete, and
    correct. It is my responsibility to supply accurate information requested on this application and
    inform OSFA immediately of any changes. I understand that falsification of information in order to
    receive state financial aid awards is a misdemeanor of the second degree. Retain a completed copy of this
    application for your records.

                      ________________________________________                              ________________
                                  Applicant's Signature                                           Date
NOTICE:      If you purposely give false information on this form, you may be subject to fine or imprisonment or
             both under Section 837.06, Florida Statutes.


                                    SECTION A: Demographic Information
       The Florida Department of Education, Office of Student Financial Assistance will initially
                 *
       communicate with you using the e-mail contact information you supply in this portion of your
       application. It is your responsibility to supply accurate information. It is your responsibility to use
       your User ID and PIN to update your demographic information and keep informed of your
       application process. Should your contact information change, please visit
       www.FloridaStudentFinancialAid.org and select State Grants, Scholarships & Applications.
       Go to Update My Demographics located below the Applicant Quick Links.

      Activate your User ID and PIN - Know it, Use it, Be Responsible for your state financial aid!



                            Questions marked with an asterisk (*) require a response.

                                                                        SSN Disclaimer:
1. *Social Security Number (SSN)                                        Financial assistance will not be denied for failure to
                                                                        disclose the SSN. However, without an SSN, correct
                                                                        identification of the applicant's record cannot be
                 -         -                                            assured and may result in an error in the award
                                                                        amount or delay in the disbursement of an award.
2. *Date of Birth: (MM/DD/YYYY)
             /         /

3. *First Name                                         4. MI   5.*Last Name



6. * Are you Hispanic/Latino?             Yes
                                          No




FFAA-1, Rule 6A-20.019, Effective September 22, 2008      1                                            12/1/10
*Indicate one or more races below with which you identify:


         American Indian or Alaskan Native                  Native Hawaiian or Other Pacific Islander
         Asian                                              White
         Black or African American                       Other
7. *Gender:             Female             Male

8. *Phone Number (At least one phone number is requested)
    Home                                          Alternate

                  -             -                                     -             -
     Cell
                  -             -                               I do not have or choose to disclose a phone number.

 9. *Mailing Address (alpha-numeric only; no commas or hyphens)


     (Maximum 32 characters including spaces)

10. Apartment Number


11. *City                                                       12. *State


13. *Florida County                                             14. *Zip Code + 4

                                                                                           -
15. *E-mail Address and Alternate E-mail Address
    (OSFA will post all official/award notifications to your online record)
    ________________________________                   and       ______________________________
                        E-mail Address                                        Alternate E-mail Address

            I do not have or choose to disclose an e-mail address.

    To help ensure receipt of e-mail, please add OSFA@fldoe.org to your address book or approved
    senders list.

16. *Is Florida your state of legal residence?         Yes
                                                       No


17. *Citizenship Status:            U.S. Citizen         Non-Citizen                    Eligible Non-Citizen

       SECTION B: Academic Background, Grade Point Averages, and Test Scores
              (To be certified by high school/postsecondary institution)

18. *Will you graduate or have you graduated from a Florida high school, Home School, or with a GED?


            Yes         No




FFAA-1, Rule 6A-20.019, Effective September 22, 2008        2                                             12/1/10
 19. *If yes, identify your school type.              Public          Private       Home Education Program             GED

          a. In what district were you registered as a Home Educated student in the 11th grade? _____________
          b. In what district were you registered as a Home Educated student in the 12th grade? _____________

 20. *If yes in #18 above, identify the Florida county where you attended high school. ____________________

 21. *Provide the name of the Florida high school last attended: ___________________________________

                                                                 Or

      Provide the name of out-of-state high school last attended: ___________________________________

 22. *High School Graduation Date: (MM/DD/YYYY)                                 /     /

 23. *In the fall of 2011, I will be classified as:


     Freshman (First time in college)                          Junior (No previous bachelor’s)

     Freshman (With previous college)                          Senior (No previous bachelor’s)

     Graduate Student                                          Degree Holder Enrolled in Educator Preparation Institute
     Sophomore (No previous bachelor’s)


 24. *Select the postsecondary location                 In-State School
      and write the name of the institution                                           Name of Institution
      you are planning to attend.
                                                        Out-of-State School
                                                                                      Name of Institution



 25. *Select the last postsecondary                     In-State School
      location and write the name of the                                              Name of Institution
      institution you attended.
                                                        Out-of-State School
                                                                                      Name of Institution


 OSFA requests a “self-reported approximate” grade point average (GPA) to begin your
 evaluation for State of Florida financial aid programs. Your official GPA will be certified
by your high school and/or postsecondary institution prior to an eligibility determination.


 26. *Unweighted High School                 .             27. Weighted High School                  .
      GPA (based on a 4.0 scale)                               GPA (based on a 4.0 scale)


 28. College GPA (if applicable)             .


 29. *Some State of Florida financial aid programs require test                                  SAT
     scores. Report all tests that you have taken or plan to take.                               ACT
     OSFA will verify scores through the appropriate test agency.                                CPT
     (check all that apply)                                                                      Do Not Plan to Test

 FFAA-1, Rule 6A-20.019, Effective September 22, 2008            3                                           12/1/10
                                 SECTION C: Special Interest Questions


30. *The Robert C. Byrd Honors Scholarship Program is awarded to a limited number of outstanding high
    school seniors. Your high school principal/district personnel may nominate only ONE applicant who will
    compete with a pool of regional applicants to be considered for a potential award. Awardees will be
    chosen by OSFA based on eligibility requirements.
    Do you wish to apply to be evaluated for this program?                        Yes       No

    If you selected “Yes” to be evaluated for the Robert C. Byrd Honors Scholarship Program, you must read
    and understand the "Certification of Eligibility for Federal Assistance" form ED 80-0016. This federal form
    can be retrieved at www.ed.gov/fund/grant/apply/appforms/ed80-016fill.pdf.

    Select “Yes” below to certify that you have read, understand and meet all eligibility requirements in sections
    I and II of federal form ED 80-0016 (Certification of Eligibility for Federal Assistance). If you check “Yes”
    below, you are not required to print and send a copy of form ED80-0016 to OSFA.
                                          Yes           No

31. a. If you or one of your natural parents are Hispanic-American or of Spanish culture, with origins in
    one of the following countries, please select this country from the list.


         Argentina                         Dominican Republic         Panama
         Belize                            Ecuador                    Paraguay
         Bolivia                           El Salvador                Peru
         Chile                             Guatemala                  Puerto Rico
         Columbia                          Honduras                   Uruguay
         Costa Rica                        Mexico                     Venezuela
         Cuba                              Nicaragua                  None

    b. If you are awarded a José Martí Scholarship Challenge Grant, do you give the Florida
    Department of Education permission to release your name, address, phone number, country of origin
    and postsecondary institution choice to the José Martí Foundation which helps to fund this scholarship?

                                                       Yes       No

32. Are you a dependent child or spouse of a veteran who has been classified as deceased or 100% disabled,
    Prisoner of War, or Missing in Action by the Department of Veterans Affairs?


         Yes, Child
         Yes, Spouse
         No

    If the answer is Yes, Child or Yes, Spouse, you are required to answer the following questions by the
    April 1 program deadline in order to receive an evaluation. If you select “I do not know,” you must
    provide the requested information by the April 1 program deadline.




FFAA-1, Rule 6A-20.019, Effective September 22, 2008         4                                    12/1/10
    a. *Enter your qualifying veteran’s name:

    First Name                                             MI      Last Name



    b. *What is the qualifying veteran’s status?


          Deceased                         100% Disabled
          Prisoner of War                  Missing in Action

    c. *What is the qualifying veteran’s branch of service?


          Army                             Coast Guard                   Navy                      I Do Not Know
          Air Force                        Marine Corps                  National Guard            None


 If you answer “I Do Not Know” to Question # 32d-g, you are required to provide this information to the
 Office of Student Financial Assistance prior to April 1 to be evaluated for this program.

    d. *Select the military conflict that was in progress at the time your qualifying veteran was affected.
          None                                                       Operation Just Cause in Panama
          I Do Not Know                                              Operation Urgent Fury in Grenada
          Korean Conflict                                            Persian Gulf War
          Multinational Peace Keeping Force in Lebanon               USS Stark Attack
          Newfoundland Air Tragedy                                   Vietnam Era
          Operation Eagle Claw, Iranian Rescue Mission               WWI
          Operation Enduring Freedom                                 WWII
          Operation Iraqi Freedom


e. *What state was your qualifying veteran a resident of when initially determined deceased
    or 100% disabled, Prisoner of War, or Missing in Action?
   _______________________ or                   I Do Not Know

f. *Enter Veteran’s Administration Claim Number:


      C                               or        I Do Not Know

g. *Has your parent, child, or sibling been awarded the Scholarships for Children and Spouses of Deceased
    or Disabled Servicemembers in the past?


          Yes          No          I Do Not Know

   If Yes, provide the name of a parent, child, or
   sibling who has received this award.                    ____________________________




FFAA-1, Rule 6A-20.019, Effective September 22, 2008           5                                    12/1/10
33. To the best of your knowledge, was your family affected by the Rosewood incident in Florida in the 1920s?


          Yes          No

    If the answer is yes, you are required to answer the following questions by the April 1 program deadline in
    order to receive an evaluation.

    Identify your ancestor’s name in the field provided.

     First Name                                         MI     Last Name



    or       I Do Not Know. If you answer “I Do Not Know,” you must provide this information to OSFA
    prior to April 1 to be evaluated for this program.

    OSFA must receive documentation including but not limited to: birth certificates, death certificates,
    marriage licenses, and/or church records indicating your relationship to the ancestor’s name you have
    provided. Documents must be sufficient to establish you as a Rosewood descendant. Documentation
    must be submitted to the address provided at the bottom of this application prior to April 1, 2011, in order to
    be evaluated for the Rosewood Family Scholarship Program.

34. *Have either of your parents earned a bachelor’s degree or higher? (If you regularly reside with and
    receive support from only one parent who did not earn a bachelor’s degree, select “No” to this question.)


         Yes           No


35. Are you interested in work-study programs?           Yes          No


36. If you are interested in receiving low cost education loans, do you authorize the Florida Department of
    Education, Office of Student Financial Assistance to send you information?            Yes         No


                                    SECTION D: Releases
                Your personal information will not be shared with other entities.

37. *I authorize the release of the following available information: high school transcripts/grade point
    averages; college transcripts/grade point averages; SAT, ACT, or CPT scores to the Florida Department
    of Education, Office of Student Financial Assistance for use in program evaluations.


        Yes           No (If “No” is selected, you will not be evaluated for the Florida Bright Futures Scholarship
                         Program, José Martí Scholarship Challenge Grant, and the Robert C. Byrd Honors
                         Scholarship Program.)

38. *I have been found guilty of, or entered a plea of no contest (nolo contendere) to a felony charge and not
    had my civil rights restored by the Florida Governor and Cabinet sitting as the Executive Board of
    Clemency. (If you do not know the answer to this question, ask your attorney or the county clerk's office
    of the county where you were charged.)


         Yes          No    (By checking "Yes," you will be determined ineligible for the Florida Bright Futures
                            Scholarship Program.)



FFAA-1, Rule 6A-20.019, Effective September 22, 2008       6                                         12/1/10
  Sign (on page 1) and mail this completed application by the program deadline(s)
     listed in the Conditions section of this application to the address below. Retain
     a copy of this signed application for your records.

       OSFA will enter your Initial Student Florida Financial Aid Application into the
                     State Student Financial Aid Database upon receipt.

                    You will receive an e-mail outlining any additional
            documents or certification needed to complete your application process.

                 If you do not receive an e-mail, please follow the steps below:
                •   Access your User ID and PIN the day after you apply by going online
                    to www.FloridaStudentFinancialAid.org and select “State Grants,
                    Scholarships & Applications,” followed by “Application Status and
                    Award History.” Select “Get My User ID and PIN.”
                • After selecting “Application Status and Award History,” select
                    “Financial Aid Recipient History.”
                • A PDF copy of your correspondence will be available in Section VI –
                    Correspondence History by selecting the blue hyperlink for that letter.
                • If you need assistance or are unable to complete these steps, call toll-
                    free at 1-888-827-2004.

           To update all demographics and monitor the status of your application,
                                     follow these steps:

                           Go to www.FloridaStudentFinancialAid.org,
                       Choose “State Grants, Scholarships & Applications,”
                         Choose “Application Status & Award History.”

                To update information, choose "Initial Student Update" and then
                                       “Application,” or
                               “Name, Address, and Institution”

                To monitor your status, choose "Initial Student Status" and then
                            “Application/Certification” or “Award”

                Award status and notifications are posted to your online record!

       Activate your User ID and PIN - Know it, Use it, Be Responsible for your state
                                         financial aid!

                                          Florida Department of Education
                                       Office of Student Financial Assistance
                                        325 West Gaines Street, Suite 1314
                                         Tallahassee, Florida 32399-0400

                                                       1-888-827-2004

                                        www.FloridaStudentFinancialAid.org

FFAA-1, Rule 6A-20.019, Effective September 22, 2008         7                       12/1/10

				
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